Ashley Maurice Doe
Individual provider Active NPI Driver · Ayden, NC
NPI 1043674088 · NPPES record last updated Apr 6, 2016
Key facts
- NPI
- 1043674088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 4566 Brown Rd
Ayden, NC 28513-7157 - Phone
- (252) 229-7914
- NPI assigned
- Apr 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
4566 Brown Rd
Ayden, NC 28513-7157
Mailing address
4566 Brown Rd
Ayden, NC 28513-7157
Phone (252) 229-7914
Other providers in Ayden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.